Heart failure registry in Yemeni hospitals

Background: Heart failure is Inability of Heart to maintain adequate cardiac output to meet the demands of body, its end stage of all diseases that affecting heart and it is a major health problem in our society. It measuring major challenges in its diagnosis and management. Aim: This study aimed to registry of Heart Failure at Hospitals of Dhamar City, Yemen, measuring major risk factors can precipitate this condition and guideline treatment their relation to improvement and death. Patients and Methods: All patients in the term of heart failure admitted to Dhamar Governorate major hospitals between 15th February 2019 to 15th July 2019. All patients subjected to clinical evaluation, baseline ECG, results of laboratory investigations, treatment strategies. Results: Out of 120 patients registered with mean age (58.45 years old) we were found that qat chewing was a major risk factor in 81%, hypertension52%, smoking 41% and ischaemic heart diseases33.3%, Diabetes mellitus 33.3%. On clinical evaluation, dyspnea (NYHA class IV) was most common presenting symptoms in 69.5 %, patients whose received guideline treatment was 49.2%, 63.2% of them had improved the rest of them still not control their co morbidity or present of risk factors especially chewing qat. Conclusion: Heart failure registry is intending to provide unique insight into demographic, etiology, clinical presentation and outcomes of heart failure in Dhamar city, this registry will help the local clinician to identify the deficiency in the management of heart failure as well as provide the platform to implement evidence based preventive and treatment strategies. also this registry substantially improve our understanding and care of heart failure, improved cases they were stop qat and treated under guideline.